based on medical necessity. Conduct medical rounds, attend Medical Director meetings and participate in the inter-rater...Summary of Position Manage the daily clinical operation and administration of a Medical Management Department...
clinical detail to the Medical Director for final case determination in accordance with regulation and department policy... to Medical Director any questionable quality issues or inappropriate hospitalizations for immediate intervention and/or refer...
and administrative policies to evaluate medical necessity. Prepare/present clinical detail to the Medical Director for final case... guidelines and benefit sets; Preservice, Concurrent Review, Retrospective, Post-Acute and Care Management. Conduct medical...
that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching... others achieve their goals. In short, We Enable Possibility℠. The Director, Multi Line Account Engineer will be responsible...
City. This assignment in Onsite Mon-Thurs in New York, NY, 10013 and Remote on Fri. Duration: 6 month(s) Pay Rate: $35... - gets along well with others, Juggle 3 VP's schedules with ease, Multi-task and Work in multiple Time zones...
, you will oversee a portfolio of stores across multiple brands—acting as both a strategic brand liaison and a high-impact coach..., skills, competencies, and qualifications. Core Responsibilities Retail Store Performance Oversee and support multiple...
Director STATUS: Exempt WHO WE ARE Crunch Fitness is a rapidly expanding fitness brand with over 500 franchised.... Serve as primary marketing liaison for regional operations and franchisees, national sales, and new gym openings teams...